madis tiik: selfcare
DESCRIPTION
Sitra’s eHealth Miniseminar at WoHIT, Dublin, 13 May 2013TRANSCRIPT
Selfcare, unused resourse of care
Madis Tiik MD, Phd
Sitra,senior adviser
• Tartu University , medical doctor 1996
• Nordic School of Public Health -Diploma in
Public Health 2003
• Estonian Business School 2001-2003 ICT
Management
• Estonian Society of Family doctors, chairman
2001-2008.
• Estonian eHealth Foundation , CEO, 2007-2011
• EU eHealth Task Force group scientific adviser
of the President of the Estonia (2011-2012)
Preparing report for EU Commission , how to
improve ehealth after 2020
• Tallinn University of Technology , Phd
14.12.2012
• Senior Adviser , Sitra 2012-
• Family doctor in Vormsi island 2011-
14.12.2012
Madis Tiik, MD, Phd
1000 adults during 1 month
800 health related symptoms
329 looking for professional help
217 Healthcare
113 Family physician
104 Specialized doctor
65 Alternative medicine (acupuncture, homeopathy etc.)
25 day clinic
13 emergency
8 hospital.
1 university
clinic
Green, LA. Fryer, GE Jr. Yawn, BP. Lanier, D. Dovey, SM (2001). ‘The ecology of medical care revisited.’ New England Journal
of Medicine, 344(26): 2021–2025
Where patients seek information?406 self-care?
Health coaching
Self-care
Walk in clinics
Home monitoring
GP, outpatient
care
Hospital care
High specialization
Finnish population (5.4M), based of
the risk calculation
Very high risk 60 000
High risk
200 000
Low risk
800 000
Self-care, prevention
4 340 000
Patient
centric team
Motivated,
supported
citizen
PROBLEM
Existing model of care
Need assesment is
done by phone or digital channels
Citizen
Need assessment
Care plan
Tests
Procedures
Consultation
Referral
Healthcare professional
Test
ProcedureSpecialized care
• Patient carries information
• Unprepared patient entering to the healthcare
• Wasting time and money of the healthcare
Need assesment is done virtualy
Citizen
Need assessment
Care plan
Tests
Procedures
Consultation
Referral
Nurse
Need assessment
Care plan
Tests
Procedures
Consultation
Referral
Doctor• Test
ProcedureConsultant
SOLUTIONEmpowered ciizen
�Virtual need assessment
�Personal profile
�Assisted selfcare
� Target- 80% of health related
problems solved virtualy
Tools
• Decision support
• Big data
• Simulation
• Statistical analyzes
• http://www.ukpreventive
medicine.com/
Digital
services and
self-care
Role of
3th
partiesChange in
the service
supply,
new
services
Remote
consultation set
in Vormsi island
Pa
tie
nt
PA
TIE
NT
HE
ALT
H B
EH
AV
IOU
R T
EL
EM
ON
ITO
RIN
G
HC
SP
PH
RB
ox
EH
R
SELF-MONITORING
ASSISTEDMONITORING
VIRTUAL VISIT
CP CHANGES
DE
VIC
ES
VISIT
VITAL SIGNS
REPORT CARE PLANCCD
VITAL SIGNS
REPORTOK OK
REPORT
CCD
CDACARE PLAN
CCD CDA
Mobil unit with nurse
18 PARTNERS
PARTNERS FOR TELEMEDICINE SERVICE
Healthcare
professionals
Consulting team
Decision support
Patient
Operator
